Applicant awarded partial attendant care benefits but denied medical treatment plans due to insufficient evidence.
The applicant, who was deemed catastrophically impaired following a motor vehicle accident, sought payment for various denied and partially approved treatment plans, as well as attendant care benefits.
The Licence Appeal Tribunal dismissed the claims for the medical benefits and treatment plans, finding the applicant failed to provide sufficient evidence that they were reasonable and necessary.
Regarding attendant care benefits, the Tribunal found the applicant was not entitled to additional amounts for the period prior to February 2016.
However, the Tribunal determined that the applicant had incurred attendant care expenses from February 2016 onwards and awarded partial attendant care benefits based on a detailed assessment of the required levels of care and the applicable hourly rate guidelines.
OLATOntario Licence Appeal TribunalAug 8, 2017